Doctor Name: | CHARLOTTE ANNE ROSEN |
NPI Number: | 1023132438 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | LH00006542 |
Business Practice Address: | 1157 3rd Ave Suite 100 Longview, WA - 986326000 |
Business Phone Number: | 3606365653 |
Business Fax Number: | |
Mailing Address: | 1157 3rd Ave, Suite 100 LONGVIEW |
State: | WA |
Postal Code: | 986326000 |
Phone Number: | 3606365653 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00006542 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |